33/678
| Place of Death: County |
Kenosha |
| City |
Kenosha |
| Full Name of Hospital or Institution |
St. Catherine's Hospital |
| Length of Stay |
|
| Usual Residence: State |
Wisconsin |
| County |
Kenosha |
| City |
Kenosha |
| Street Address |
4048 10th Avenue |
| Name of Deceased |
Joseph (Mekowicz) Miechowicz |
| Date of Death |
November 22, 1965 |
| Sex |
Male |
| Color or Race |
White |
| Married, never married, Widowed, Divorced |
Widowed |
| Date of Birth |
Aug. 28, 1889 |
| Age |
76 |
| Usual Occupation |
Factory |
| Kind of Business or Industry |
Simmons Co. |
| Birthplace |
Poland |
| Citizen of What Country |
USA |
| Father's Name |
Stanley Miechowicz |
| Mother's Maiden Name |
Unk |
| Was in U.S. Armed Forces? |
No |
| Social Security No. |
|
| Informant |
Leo F. Wendt, Son |
| Name of Husband or Wife, If Alive |
|
| Age of Husband or Wife, If Alive |
|
| Cause of Death |
Hemorrhage, duodenal |
| Interval between Onset and Death |
3 days |
| Antecedent Causes |
Clear, peptic |
| Interval between Onset and Death |
Unknown |
| Other significant conditions |
Osteoarthritis, mult. jts & Generalized Art.-sclerosis |
| Attended |
Oct. 20, 1965 to Nov.2 2, 1965 |
| Last Saw Alive |
Nov. 22, 1965 |
| Death Occurred At |
4 AM |
| Physician |
David N. Goldstein MD |
| Address |
Kenosha, Wis. |
| Date |
11/22/65 |
| Burial |
Nov. 24, 1965 |
| Cemetery |
St. Casimirs Cemetery, Kenosha, Wis. |
| Name of Funeral Home and Address |
Bruch Funeral Home, Inc., |
| 3503 Roosevelt Road, Kenosha, Wisconsin |
|
| Filed |
11-23-65 |
| Registrar |
Louise Markert, Dep. |
| Funeral Director |
George J. Bruch |
|
